[Contrat unique, une approche innovante de financement du niveau intermédiaire du système de santé en République Démocratique du Congo : processus et défis de mise en œuvre].

Publisher: OpenJournals Pub Country of Publication: South Africa NLM ID: 101520860 Publication Model: Electronic Cited Medium: Internet ISSN: 2071-2936 (Electronic) Linking ISSN: 20712928 NLM ISO Abbreviation: Afr J Prim Health Care Fam Med Subsets: MEDLINE

Original Publication: Tygervalley, South Africa : OpenJournals Pub.

Financial Management* ; Healthcare Financing*; Congo ; Delivery of Health Care ; Humans

Basket fund, an innovative approach for intermediate health system level financing in the Democratic Republic of Congo: Implementation process and challenges.
Background: Universal health coverage should allow countries to establish a financing strategy in order to guarantee the health of the population.
Aim: Our objective was to describe the process and preliminary results of the implementation of the basket fund approach as a mode of financing the intermediate level (provincial health divisions) of the Congolese health system.
Setting: The study was conducted in the provincial health divisions (PHDs), representing the intermediate level of the health system in the Democratic Republic of Congo, where the basket fund approach has been implementedMethods: We conducted a mixed-methods convergent study as part of the evaluation of the basket fund approach in the Democratic Republic of Congo, five years after its introduction (2014-2019). Data was collected through a document review and individual interviews by telephone. A descriptive analysis of the quantitative data was conducted using Statistical Package for Social Sciences (SPSS) version 24 software. The qualitative data were analysed by thematic analysis using a pre-established thematic framework.
Results: The implementation of the basket fund approach was effective in some (PHDs) (53.8% in 2016). The operating costs of the PHDs varied according to the size, density and number of health zones covered. In the PHDs where the basket fund was operational, this approach appeared to contribute to improved planning and management in the use of resources, the partnership between technical and financial partners (TFPs and PHDs) and incentives for the performance of PHD agents.
Conclusion: In the DRC, the basket fund approach has contributed to improved collaboration between donors in the health sector and facilitated the decentralisation of funding planning to the provincial level.

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Keywords: DRC; Financing; basket fund; health system; intermediate level

Date Created: 20211209 Date Completed: 20211210 Latest Revision: 20211229

20240628

PMC8689365

10.4102/phcfm.v13i1.2869

34879695